As a nurse practitioner, you are responsible for assessing cranial nerves as a part of the neurological exam. Which tests for tactile perception of the facial skin?

The cerebrum contains all of the following areas of the brain except

All of the following statements are true about gray matter except:

Systemic effects of hyponatremia include which of the following?

Why is the outermost surface of the brain covered in sulci and fissures?

A 29-year-old African American female was diagnosed with schizophrenia approximately three years ago. After many trials of antipsychotics, she was finally stabilized on haloperidol during the past 6 mos. Three weeks ago she began exhibiting mild pseudo-Parkinson's symptoms. Which class of medication would be most appropriate for treating these side effects?

All of the following medications can induce depression except:

Which part of the brain is composed of the cells that produce neurotransmitters?

Most common sexual dysfunction side effect by women who are prescribed a SSRI?

A decrease in serotonin is related to all of the following psychiatric disorders except:

The basal ganglia is responsible for all of the following functions except:

Pharmacological management of social anxiety (phobia) disorder can include all of the ff treatment options except:

What role does the hypothalamus play in regulation?

Which of the following is considered an environmental risk factor?

Why are older adults more sensitive to psychotropic medication?

The reticular formation regulates which body functions?

Which statement most accurately defines evidence-based practice?

All of the following statements about screening for dementia are false except

What psychoactive substance is most widely used in the US?

Individuals who possess a high level of computer literacy are also known as what?

What is best definition of "lethality" in relation to mental health and illness severity?

What most common tool used to assess for alcoholism in geriatric populations is?

This is an example of what type of prevention strategy?

NP helps a local school district implement a new DARE program

What type of systematic review statistically analyzes a collection of quantitative studies?

Which one of the following diagnoses best fit this man's presentation? A 62 yr old widower is brought to the clinic by his daughter. She reports that he suddenly quit his job as a librarian 3 mos ago. He told her that he just doesn't care about work anymore, and it's too difficult for him . She believes he is depressed bc he sleeps all the time. He reports feeling that life is no longer worth living. His PMH is unremarkable. On exam, he has trouble attending to the task at hand, and multiple myoclonic movements . Score Folestein Mini Mental 21/30 and he could not draw a clock. Blood tests, including thyroid , antinuclear antibodies, rheumatoid factor, and sedimentation rate are normal.

What is the most likely diagnosis? a 25 yr old man presents to the clinic for smoking cessation. He has a 5 pack years smoking history and has quit smoking for several years. He mentions that he started smoking after his father died to alleviate his low mood. Now he depends on it to save him from a constant state of low mood and low energy. He only manages to quit for a few weeks and is compelled to start smoking whenever he is faced with a stressful situation. He also says it helps him sleep and improves his appetite. He does not mention feeling SI.

Which of the following statements best described the features associated with this disorder? A 8 yr old girl is brought for a psychiatric evaluation by her mother who is concerned about her daughter's frequent explosive outbursts during which she becomes verbally offensive towards parents, peers, and teachers. According to her mom, her overall mood is irritable, and she remains angry all the time. The symptoms have been present for over a year. A dx of Disruptive mood dysregulation DMDD is made

You suspect which of the following? A27yr dx with Schizophrenia presents tot he ED after taking Haldol 10mg qid for the past 4 days. He report that "the voices were getting worse" and he thought this would help. He currently have a fever (103.8) sweating profusely, and feels very stiff. While assessing him his level of consciousness varies.

Which of the following diagnoses is the most likely for this patient?

A young woman presents reporting recurrent, episodic bine eating . During her binges, she eats an unusually large amount of food and feels a sense of lack of control over her eating. The frequency of her binges is at least 2 days per week for the past 7 mos. She does not purge, use laxatives or diuretics, or engage in other compensatory behaviors to prevent weight gain. Her BMI 23.

which of the s/s would best help distinguish whether he meets criteria for a Major Depressive episode? 68ys old male with advance heart failure. His family reports they are concerned that he may be depressed. He has been hospitalized 5x in the past 18 mos. His last 4 hospitalization were for CHF exacerbation and the current hospitalization is for acute myocardial infarction. He has no known psychiatric hx.

Whic one of the following psychiatric disorders is most commonly associated with catatonia?

Which among the following is the negative symptom particularly prominent in schizophrenia for this patient? A41yr old man with Schizophrenia presents to your clinic brought in by his wife with her main complaint of nonactivity. She reports that for the past 11 mo. he has sat in his lazy boy chair for 6-8hrs a day doing nothing claiming himself to be king. Neg symptoms account for the considerable morbidity in patients with schizophrenia.

Given this limited info, what is the patient's most likely psychiatric working dx? A 33yr old woman is referred for psychiatric eval by her pulmonologist. Per the referral note, she has a 3yr hx of asthma. The doc believes that sometimes the patient increases her asthma medications inappropriately to medicate her stess related hyperpnea rather than the underlying asthma. This use of medication inappropriately makes the patient more restless and agitated as a result. increasing her stress level. During the interview , the patient endorses that she adjusts her medication dose in accordance to how she feels. She adds that her asthma is not getting better and she needs to take her care into her own hands. Your eval and treatment is requested by the consulting doc.

According to the DSM-5, what is the patient's dx? A 42yr old man presents with alcohol use disorder for follow up. He reports he has been sober and has tested neg for alcohol use the past 10 mo. on this visit, he still reports alcohol craving.

what is the best treatment option for psychiatric complaints of this patient? A 69 yr old man in a wheelchair is brought to the clinic by his son who has recently started noticing a decline in his father's attention span, aggressive mood with social disinhibition, and badmouthing on trivial matters, which is unlike him. However, memory and complex executive functions like calculating, billing, and assorting medications are retained. His son states that his father was diagnosed with Lou Gehrig's disease 5 yrs ago. he developed gradual-onset weakness in extremities that started from lower limbs, and has now progressed to upper limbs as well. His lower limbs are completely paralyzed, but he is able to move his upper limbs slowly and with effort. His neurologist had ordered an MRI recently that showed medial-frontal and anterior temporal lobe atrophy. The patient also has concurrent type 2 dia, htn, and past hx of inferior wall myocardial infarction 15 yrs ago, for which he is on metformin,amlodipine/valsartan,atorvasattin, aspirin, and atenolol.

in staffing the next wk, you report to the team that you suspect which of the following dx per DSM-5? while rounding on a residential peds rehab unit one child often feels sick after his mom visits for lunch. he tries to participate in the milieu, but sometimes vomits for days. she reports that he has always been a sickly child. requiring multiple surgeries and hospitalization. While some staff think it is a manipulative and attention-seeking behavior, you suspect that the mother is giving her child something harmful to digest when they share lunches.

which of the following statements best described the development and course of this disorder? A 9yr old girl has recently been dx with DMDD disruptive mood dysregulation disorder. She has a hx of frequent temper tantrums, manifested as physical aggression for over the last 2yrs, along with persistently angry and irritable mood bw the explosive outbursts. The outbursts occur multiple times a day at both home and school.

what is the next best step the PMHNP takes on behalf of the patient? a 36yr old man recently dx with HIV presents for follow up with depression. During the conversation, revealing active sexual contact with males and females not been informed of the HIV pos status. The patient feels it is safe to not inform partners bc of the 2 factors, the consistent use of latex condoms, 2. a present CD4 + T cell count of less than 1,000 with anti-retroviral tx.

Although your intent is to provide quality patient care, do your actions demonstrate ethical practice? As a PMHNP , you pride yourself in providing effective and therapeutic care to your patients. One way you have increased the access to mental health care for your patients is by providing them all with your personal cell phone. You regularly consult with patients via text, often times after hrs or well into the night.

Which one of the following dx is frequently comorbid in individuals with histrionic personality disorder

Which pharmacotherapeutic option is most appropriate? an 84 yr old woman presents to the mental health center with symptoms of MDD. She has been engaged in therapy for 6 months, but is still symptomatic and is seeking pharmacotherapy.

what is the most probable dx? a 20yr woman presents to the clinic to get medication for menstrual cramps. During the exam, she emotions how about a week before the onset of menses she feels extremely low, is prone to bursting to tears or lashing out. She also becomes very lethargic, starts overeating, has difficulty sleeping and generally feels overwhelmed her emotions. Many times she has to skip classes and avoids meeting people due to the disruption caused by her mood swings. The symptoms lessen when her menses start and are done a week after her menses stop. This is a recurring thing that happens around the same time in almost every menstrual cycle.

Which one of the following types of behavior therapy has been found to be most effective in treating trichotillomania (hair-pulling disorder)?

Which one of the following dx is the most probable for this patient? 49 yr old married white male presents with complaints of memory loss and increasing apathy and irritability. he scores a 10/15 on the geriatric depression scale. on exam , the patient displays mild memory loss, delayed response to questions, visuospatial task abnormalities, and executive dysfunction. Further questioning reveals a 3mo hx of unusal nonrepetitive , abrupt, jerking movements of arms and legs. Family hx is positive for MDD and presenile dementia. The patient's father died at the age of 62 after a 15 yr battle with some form of neurocognitive disorder.

Which of the following is the most likely diagnosis? 19 yr woman is brought to the clinic by her mother bc she has been worried about her daughter's strange behavior for the past 2 yrs. She does not have any friends, spends most of her time alone in her room, and does not feel comfortable around other people. She usually wears long cloaks and large , unusal hats. she wears her shoes to bed bc she sleepwalks and claims nargles will try to steal them otherwise. Her mother is concerned about her going to to college bc she was bullied in high school. At the end of last year, her mother found her putting up posters around the school, asking for her possessions to be returned, as the other ostudents had been hiding them. The daughter seemed unconcerned, though, saying that it's all in good fun. On mental status exam , she seems dreamy and avoids eye contact, but doesn't appear embarrassed about being addressed.

At which one of the following times do hypnopompic hallucinations occur?

Which pharmacotherapeutic modality is most appropriate?

A 22 yr old man presents to the mental health clinic with symptoms consistent with panic disorder. He has been engaged in therapy for 1 year, which has reduced symptom frequency, but still finds panic symptoms to be particularly impairing.

A 14-year-old patient has nonspecific complaints about pain in his or her legs. The physical examination is unremarkable. Laboratory results are within normal limits except for a markedly elevated alkaline phosphatase level. The psychiatric-mental health nurse practitioner:

Laboratory findings for a patient with an alcohol use disorder indicate increased liver function values and

A new patient arrives at the office for treatment for depression. The patient reports taking simvastatin (Zocor) and lisinopril (Zestril). When selecting an antidepressant, the psychiatric-mental health nurse practitioner eliminates fluoxetine (Prozac), based on the knowledge that the combination can lead to increased plasma levels of the statin, resulting in an increased risk of muscle damage and rhabdomyolysis. The nurse practitioner's reason is that:

During a mental status examination, an 18-year-old patient reports feeling bugs crawling under the skin. The psychiatric-mental health nurse practitioner documents this statement as:

The psychiatric-mental health nurse practitioner is responsible for initiating quality improvement at a community mental health clinic. The effective strategy for evaluating the clinic's services is to:

The psychiatric-mental health nurse practitioner evaluates a new adult patient via telemedicine. The patient has questions about a new medication that he or she recently started. The nurse practitioner decides to provide psychoeducation and to:

Any court of law that evaluates the standards of care provided by the psychiatric-mental health nurse practitioner:

The psychiatric-mental health nurse practitioner and a team of local mental health professionals are asked to provide crisis counseling service, after a gunman recently took a class hostage at a local elementary school, wounded several students, and then shot himself. In preparing for this assignment, the nurse practitioner recognizes that:

A 32-year-old female patient informs the psychiatric-mental health nurse practitioner that she is three months pregnant. She has been stable on fluoxetine (Prozac) for the last two years. The patient asks whether she may safely continue this medication during her pregnancy. The nurse practitioner responds

Established clinical guidelines suggest that suicidality is decreased by treating patients who have borderline personality disorder with:

A six-year-old patient with autism spectrum disorder has not responded to six months of psychosocial interventions and continues to demonstrate aggressive tendencies toward a younger sibling. The psychiatric-mental health nurse practitioner prescribes:

The psychiatric-mental health nurse practitioner working in a crisis stabilization unit evaluates a patient verbalizing suicidal thoughts after being sexually assaulted. Before processing through the traumatic event, the nurse practitioner first attempts to

The psychiatric-mental health nurse practitioner uses a cognitive-behavioral approach to help a patient address self-defeating behaviors. After identifying the stressor that causes the inappropriate behavior, the initial strategy is to explore:

A patient who has borderline personality disorder experiences intense anxiety when the psychiatric-mental health nurse practitioner goes on vacation. The most appropriate explanation for this reaction is that the patient:

An initial psychiatric evaluation of a patient reveals a normal mental status and appropriate behavior, despite a parent's reports of "disobedience, poor grades, and laziness." To further assess the patient's functioning, the psychiatric-mental health nurse practitioner first:

The psychiatric-mental health nurse practitioner is employed in a newly created attending role on a psychiatric inpatient unit. To promote an interprofessional environment, the nurse practitioner:

The psychiatric-mental health nurse practitioner sees a 12-year-old patient who takes lisdexamfetamine (Vyvanse) 50 mg daily for attention-deficit hyperactivity disorder. The nurse practitioner observes a tic, which the parents report began after the patient began taking the psychostimulant, and it has been increasing in severity. Both the parents and the school report that the medication is helpful. The nurse practitioner:

A patient from India emphasizes a strong feeling that he or she is one with Brahma and connected to life through this being. While developing a treatment plan, the psychiatric-mental health nurse practitioner realizes that this patient's spirituality also guides his or her:

The psychiatric-mental health nurse practitioner is tasked with continually improving the quality of care on an inpatient unit. The nurse practitioner implements:

To improve treatment and patient outcomes, the psychiatric-mental health nurse practitioner utilizes evidence-based practices. An acceptable resource for evidence-based meta analysis is the:

The psychiatric-mental health nurse practitioner is concerned about access-to-care issues in the local community and wants to help develop health care policy to help patients access care more effectively. The nurse practitioner knows one of the most effective avenues for developing and advocating for policy is:

A patient is referred to an outpatient psychiatric clinic for evaluation of depressive episodes after bouts of overeating. Assessment reveals a five-year history of episodes of uncontrollable overeating precipitated by feelings of tension. This occurs about two to three times per week and for the past year has been associated with laxative use, self-induced vomiting, and periods of fasting to maintain body weight. The patient reports becoming increasingly depressed and has considered suicide in the past. The treatment plan includes medical evaluation with electrolyte studies and:

The psychiatric-mental health nurse practitioner evaluates a female patient referred with a three-month history of moderate to severe postpartum depression. The patient has been in therapy for three weeks and has not been prescribed medication, despite several interactions with her obstetrician and primary care provider. After researching the health care system's organizational factors that contributed to this fragmented care, the nurse practitioner:

The neuroprotective treatment of choice for bipolar disorder is:

which of the following is considered an environmental risk factor?